Malunion is the most common complication ofdistal radius fractures, significant malunion cancause considerable disability this thesisevaluate effect of osteotomy, bone graft andfixation in malunited distal end radius. Thiswas done on40 patients treated open wedgeosteotomy, corticocancellous bone graft withinternal fixation by standard T – plate.Result:In this study, the distal radius osteotomysucceeded in restorng normal alignment of thedistal radius in most cases. Fernandez poimtscore system Excellent results 19 cases – Goodin 14 cases and fair in 2 cases.